Mandy Jo McCarty, NP-C
Individual provider Active NPI Family Nurse Practitioner · Fairfield, IA
NPI 1316338593 · NPPES record last updated Mar 11, 2024
Key facts
- NPI
- 1316338593
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- A004296 (AR)
- Practice address
- 2000 S Main St
Fairfield, IA 52556-9572 - Phone
- (641) 472-9111
- NPI assigned
- Feb 10, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Indiana University School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Jefferson County Hospital
Practice addresses (Care Compare)
2000 C S Main St
Fairfield, IA 52556-9572
2000 S Main
Fairfield, IA 52556-9572
2000 S Main St
Fairfield, IA 52556-9572
Phone (641) 472-4111
Hospital & facility affiliations
- Jefferson County Health Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AR, IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171016000348 | AR | Practitioner - Nurse Practitioner | 4082931365 | Reassigns benefits to 1 organization |
| I20190522001248 | IA | Practitioner - Nurse Practitioner | 4082931365 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Arkansas Emergency Physicians LLP | Current | Accepting new patients | |
| QV Urgent Care Ia PLLC | Current |
Accepting new patients | |
| Jefferson County Hospital | Current |
Accepting new patients | |
| Jefferson County Hospital | Current |
Accepting new patients | |
| South Arkansas Emergency Physicians, LLP | Current |
Accepting new patients | |
| South Arkansas Emergency Physicians, LLP | Current |
Accepting new patients | |
| QV Urgent Care Ia PLLC | Current |
Accepting new patients | |
| Jefferson County Hospital | Past | Accepting new patients |
Locations
3873 N Parkview Dr
Fayetteville, AR 72703
Phone (479) 527-0050
609 W Maple Ave
Springdale, AR 72764
Phone (479) 751-5711
2000 S Main St
Fairfield, IA 52556
Phone (641) 469-4204
801 N Grand Ave
Mt Pleasant, IA 52641
Phone (319) 984-4775
1817 1st Ave E
Newton, IA 50208
Phone (641) 458-3055
312 W McLane St
Osceola, IA 50213
Phone (641) 658-9048
Interoperability endpoints
- mhunter160755@uihcdirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A004296 | AR | Yes |
Addresses
Primary practice location
2000 S Main St
Fairfield, IA 52556-9572
Mailing address
20937 Russell Corner Rd
Gravette, AR 72736-8953
Phone (479) 787-8034
Other providers in Fairfield, IA
- Madison County Medical Equipment Inc
- Maharishi International University
- Jaime Ann Martin
- Claudia Mast
- Jennifer Rebecca Mazza
- Katherine Page McCloney
- Judy Elizabeth McClure
- John Michael McConeghey
- Scott McGuire
- Adam McMann
All providers in Fairfield, IA · Family Nurse Practitioner in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.